Masifunde ngovavanyo lweSpurling ukuze sifumane unobangela wentlungu yentamo yakho.

Molo! Unjani? Intlungu yentamo yingxaki abantu abaninzi abanayo kule mihla, akunjalo? Ngamanye amaxesha le ntlungu iyehla ingalo, ibe ndindisholo, ize iphazamise nengqondo. Ngoko ke namhlanje siza kuthetha ngovavanyo olulula oluza kwenziwa ngugqirha wakho ukuze afumane unobangela wentlungu yentamo yakho. Lubizwa ngokuba luvavanyo lweSpurling. Xa usiva oku, unokucinga, "Owu, yintoni le?" Kodwa ungakhathazeki, masithethe ngayo ngokulula.

Ngaba uyazi ukuba yintoni iSpurling Test?

Ngamafutshane, uvavanyo lweSpurling luvavanyo lomzimba oluza kwenziwa ngugqirha wakho ukujonga ukuba akukho xinzelelo lweengcambu zemithambo-luvo olunokubangela intlungu entanyeni yakho. Imithambo-luvo ehamba ukusuka entanyeni ukuya ezingalweni zakho ivela kwithambo lomqolo entanyeni yakho (ekwabizwa ngokuba ngumqolo wesibeleko). Ngoko ke, ukuba enye yezi mithambo-luvo icinezelwe ngandlela thile, ibizwa ngokuba yi-cervical radiculopathy, ingxaki yomthambo entanyeni yakho. Uvavanyo lweSpurling lusetyenziselwa ukuxilonga le meko.

Oogqirha banokuthi oku "luvavanyo oluphezulu lokuxinwa komlomo wesibeleko" okanye "uvavanyo lokuxinwa kweforaminal". La magama asenokuvakala ngathi asemthethweni kwaye luvavanyo olukhulu. Kodwa ungacinga nje ngalo njengovavanyo oluqhutywa ngugqirha ukuze axilonge iintlungu zentamo. Emva koku, unokufuna ukwenza "uvavanyo lomfanekiso" ukuqinisekisa imeko. Kodwa eli linyathelo lokuqala elibalulekileyo.

Luza kwenziwa nini uvavanyo lweSpurling?

Ngokwesiqhelo, ugqirha uya kwenza olu vavanyo ukuba ubuneempawu ze-cervical radiculopathy, okanye i-nerve ecinezelekileyo entanyeni, kangangenyanga. Zithini ezi mpawu? Jonga:

• Intlungu yentamo, igxalaba, kunye/okanye ingalo. Ngokuqhelekileyo, le ntlungu iqala entanyeni ize ihambe ingalo. Ngamanye amaxesha ingavakala ngathi kukutsha okanye ukutshiswa. Oku sikubiza ngokuba yintlungu ephumayo.
• Ukurhawuzelela okanye ukurhawuzelela esandleni. Kusenokuvakala ngathi isandla sakho siyalala, okanye ngathi ziimbovane ziyabaleka. Ngamanye amaxesha iminwe yakho iyaphelelwa ngamandla.
• Ubuthathaka kunye nokungakhululeki ezandleni nakwiminwe. Xa ubamba okanye uphakamisa into, ungaziva ngathi awunamandla ngokwaneleyo, kwaye ungade uyilahle loo nto.

Khawuthelekelele ukuba ubunentlungu yentamo kangangenyanga, kwaye kwangaxeshanye, iminwe yesandla sakho sasekunene ayisebenzi kakuhle, kwaye uzive ubuthathaka xa uzama ukuphakamisa iglasi yamanzi... Ngexesha elinje, ugqirha angenza olu vavanyo "lweSpurling" ukuze afumanise ukuba kukho na imithambo-luvo entanyeni yakho echaphazelekileyo.

Ndingazilungiselela njani ezi vavanyo?

Le yeyona nto ilungileyo, ungoyiki, ayifuni kulungiselela okuninzi! Olu luvavanyo lomzimba olulula, ngoko ke akukho nto ikhethekileyo onokuyenza.

Kodwa, kukho izinto ezimbalwa ezincinci ekufuneka uzikhumbule.

• Ukuba kunokwenzeka, nxiba impahla ekhululekileyo nekhululekileyo entanyeni yakho . Umzekelo, kungcono ukuphepha iisweta ze-turtleneck, iikhafu ezinkulu, kunye neentsimbi zomqala ezinzima, njengoko ugqirha uya kufuna ukuhlola intamo yakho ngononophelo.
• Ukuba unxibe isigqubuthelo sentloko, akufuneki usisuse.
• Ngaphambi kokuba enze olu vavanyo lwe-"Spurling", ugqirha uza kwenza uvavanyo lomzimba oluqhelekileyo aze akubuze ngembali yakho yezonyango.

Kwakhona, ukuba kukho iimeko ezithile zempilo, ugqirha usenokucinga kabini ngokwenza olu vavanyo, okanye angakuthumela kolunye uvavanyo. Umzekelo:

• Ukuba kukho ukungazinzi komqolo wesibeleko.
• Ukuba unesifo esibizwa ngokuba yi-cervical spondylotic myelopathy (oku kuyinkimbinkimbi kancinci, ugqirha wakho uza kukuchazela).
• Ukuba usandul’ ukufumana ingozi entanyeni yakho, oko kukuthi, umqolo wakho.
• Ukuba unesifo sokudumba kwamalungu esifana ne-rheumatoid arthritis.
• Ukuba kukho ukurhaneleka kokuba iiseli zomhlaza zisasazeke kwezinye iindawo (i-metastasis okanye umhlaza we-metastatic).

Kumntu onezi meko, ugqirha angagqiba ekubeni enze uvavanyo olwahlukileyo kolo lweSpurling. Konke oku kungenxa yokhuseleko lwakho kunye nokuxilongwa ngokuchanekileyo.

Kwenzeka ntoni xa usenza uvavanyo lweSpurling? Kwenziwa njani?

Le yinto edla ngokwenziwa eofisini kagqirha ngemizuzu embalwa. Akukho zixhobo zintle zifunekayo. Nantsi into eyenzekayo:

• Okokuqala, ugqirha uza kukuxelela ukuba ume okanye uhlale esitulweni. Emva koko, uza kukuxelela ukuba uhlale uthule kwaye uphumle.
• Okulandelayo, ugqirha uza kubeka izandla zakhe entlokweni nasentanyeni yakho ngobunono .
• Emva koko, jika intloko yakho nentamo yakho kancinci ukusuka kwelinye icala ukuya kwelinye (ekunene, ekhohlo), yityekise kancinci ecaleni, mhlawumbi uyijikelezise kancinci, uze uyitsale kancinci. Konke oku kwenziwa ngokulawulwayo nangobunono.
• Ngelixa intamo yakho ikwindawo nganye, ugqirha uza kubeka uxinzelelo oluphantsi oluvela phezulu entlokweni yakho.

Ngeli xesha, ugqirha ukhangela iimpawu zesifo esithile esingabonakaliyo. Ngoko ke kubalulekile ukuxelela ugqirha ukuba uziva njani ngoko nangoko. Ugqirha uza kwenza oku ngokuthetha nawe. Banokubuza imibuzo efana nokuthi, "Uziva njani ngoku?" okanye "Ngaba uziva iintlungu?" Ungacelwa ukuba uphakamise isandla sakho ukuba uziva iintlungu, okanye ungacelwa ukuba uchaze oko ukuzivayo. Ungoyiki ukukutsho.

Injani iSpurling Test?

Le yingxaki enabantu abaninzi. Usenokungaziva ntlungu okanye ungonwabanga. Ukuba kunjalo, kulungile.

Nangona kunjalo, ngamanye amaxesha, ingakumbi ukuba unemithambo-luvo exineneyo, unokuziva iintlungu ezincinci, ukungaziva, okanye ubuthathaka engalweni yakho ngexesha lovavanyo. Le ntlungu isenokuba ifana nentlungu owawunayo ngaphambili, iphuma entanyeni yakho iye ezantsi engalweni yakho.

Eyona nto ibalulekileyo kukuxelela ugqirha wakho kwangoko xa uziva ungakhululekanga. Ugqirha uya kuyimisa intshukumo aze enze uhlolo ngendlela engebuhlungu kakhulu kuwe. Usenokucelwa ukuba ujike intloko yakho uye kwelinye icala ukuze ubone ukuba iimpawu zikude kangakanani, kodwa ungaze uyenze ngendlela eyandisa intlungu yakho.

Khumbula, injongo yolu vavanyo ayikokukubangela iintlungu ezingaphezulu, kodwa kukukunceda ufumane unobangela wentlungu yakho. Ugqirha uhlala ecinga ngawe.

Ngaba kukho naziphi na iingozi ngolu vavanyo?

Xa ugqirha esenza olu vavanyo "lweSpurling", ulwenza ngononophelo olukhulu, ecinga ngokhuseleko lwakho. Olu luvavanyo olukhuselekileyo ngokubanzi.

Nangona kunjalo, nangona kunqabile kakhulu , kukho ithuba elincinci lokwenzakala okusisigxina okanye ukonakala kwemithambo-luvo. Amathuba okuba oko kwenzeke mancinci kakhulu, kuba oogqirha bakwenza oku ngononophelo olukhulu nangolawulo olukhulu. Ukuba uziva iintlungu, ziyayeka ngoko nangoko, ngoko ke amathuba okuba umonakalo omkhulu unciphe.

Zithini iziphumo zovavanyo lweSpurling?

Nje ukuba uvavanyo lugqityiwe, ugqirha unokufumana esinye seziphumo ezimbini: nokuba uvavanyo lunokuba ``lulungile`` okanye lungaba ``lubi```.

• Uvavanyo lweSpurlin olubonisa ukuba une-positive luthetha ukuba uziva iintlungu okanye ezinye iimpawu (ezifana nokungakhululeki esithethe ngako ngaphambili, iintlungu ezihla engalweni yakho) ngexesha lovavanyo. Oku kuthetha ukuba kukho ithuba elikhulu lokuba une-nerve ecinezelekileyo entanyeni yakho (cervical radiculopathy). Ukuba oku kuyenzeka, ugqirha wakho unokuyalela ezinye iimvavanyo zomfanekiso, ezifana ne-CT scan okanye i-MRI, ukuqinisekisa ukuxilongwa.
• Uvavanyo lweSpurlin olubonisa ukuba awunayo imiphumo emibi luthetha ukuba awuzange uve ntlungu, iimpawu ezintsha, okanye ukuba mandundu kwempawu esele ikho ngexesha lovavanyo. Ukuba kunjalo, mhlawumbi awunayo i-cervical radiculopathy, imeko ebangela ukuba umthambo ucinezeleke entanyeni. Nangona kunjalo, ugqirha wakho unokufuna ukwenza ezinye iimvavanyo ukuqinisekisa ukuba uxilongiwe, njengoko kuya kufuneka akhuphe ezinye izizathu.

Ndiza kuzazi nini iziphumo zolu vavanyo?

Le yenye into elungileyo! Nje ukuba uvavanyo lugqityiwe, ugqirha uza kukuxelela iziphumo. "Uvavanyo lwakho luchanekile/luchanekile" uza kuxelelwa ngoko nangoko. Uza kukuchazela nento omawuyenze ngokulandelayo, nokuba kufuneka iimvavanyo ezingaphezulu na, loluphi uhlobo lonyango olufumanekayo. Eli likwalixesha elifanelekileyo lokubuza nayiphi na imibuzo onokuba unayo.

Ukuba uvavanyo lweSpurling lubonakala lulungile, kuza kwenzeka ntoni emva koko?

Kulungile, masithi uvavanyo lwakho lweSpurling "lulungile." Oko kuthetha ukuba ugqirha ukrokrela ukuba unokuba nomthambo oxineneyo entanyeni yakho.

Okulandelayo, ugqirha unokucebisa ezinye iimvavanyo ukuqinisekisa ukuxilongwa, ingakumbi iimvavanyo zokuthatha imifanekiso ezifana ne-CT scan okanye i-MRI. Ezi zinokujonga kanye okwenzekayo ngaphakathi entanyeni, apho umthambo ucinezelwa khona, kunye nokuba uqine kangakanani.

Nje ukuba uxilongo luqinisekisiwe, ugqirha uza kuqala unyango olufanelekileyo kuwe. Olu nyango lunokwahluka kumntu nomntu. Ezinye iindlela zonyango eziqhelekileyo ziquka:

• Ukusetyenziswa kwamayeza: Iipilisi zokunciphisa iintlungu, amayeza akhethekileyo okunciphisa iintlungu zemithambo-luvo, kunye nezinye iziphumlisi zemisipha zinokunikwa.
• Ukuphumla kunye nokuguqulwa kwemisebenzi: Kucetyiswa ukuba uyeke okwethutyana okanye unciphise imisebenzi enzima entanyeni (njengokuphakamisa izinto ezinzima okanye ukuhlala kwindawo enye ixesha elide).
• Unyango lomzimba: Olu lonyango olubaluleke kakhulu. Ingcali yonyango lomzimba iya kukufundisa izinto ezifana nokuzilolonga entanyeni, ukuzilolonga ukuqinisa izihlunu zentamo yakho, kunye nokuma ngendlela eyiyo (ukuhlala, ukuma, ukulala). Ezi zinto zinokunceda ekunciphiseni iintlungu kwaye zithintele ukuba imeko ingaphindi ibuyele.
• Utyando: Kwiimeko ezininzi, le meko inokulawulwa ngamayeza kunye nonyango lomzimba. Nangona kunjalo, kwiimeko ezinzima, njengaxa iintlungu zinganyamezeleki, isandla siphelelwe ngamandla amaninzi, okanye xa ezinye iindlela zonyango zingancedi, utyando lunokufuneka.

Ugqirha wakho uya kugqiba ukuba loluphi unyango olulungele wena ngokusekelwe kwimeko yakho, iimpawu zakho, kunye neziphumo zovavanyo lwakho.

Ndifanele ndibonane nogqirha nini?

Ukuba ukhe waba nentlungu entanyeni (okanye naziphi na iimpawu zemithambo-luvo ecinezelekileyo esithethe ngazo - intlungu ephuma engalweni yakho, ukungaziva, ubuthathaka) kangangeeveki ezimbalwa, ukuba iya isiba mandundu, okanye ukuba ayiphucuki, ngokuqinisekileyo bonana nogqirha. Kwakhona, ukuba intlungu ikwenza kube nzima ukwenza imisebenzi yakho yemihla ngemihla okanye ukuba unengxaki yokulala, xelela ugqirha wakho ngayo.

Ugqirha wakho angakuhlola aze, ukuba kuyimfuneko, enze uvavanyo lwe-"Spurling" ukuze ancede ekufumaneni unobangela weempawu zakho.

Okokugqibela, umyalezo oya ekhaya

Kulungile, ngoku uyazi okuninzi malunga ne-`(uvavanyo lweSpurling)`, akunjalo?

Ngamafutshane, uvavanyo lweSpurling luvavanyo olubalulekileyo nolulula olunokunceda oogqirha bafumane unobangela wentlungu yentamo yakho ngaphambi kokuba baye kuvavanyo olunzima kakhulu, njenge-MRI. Xa uya kugqirha unentlungu, kuqhelekile ukuba uzive unexhala, njengokuthi, "Owu, ngaba olu vavanyo luza kuyenza ibe mandundu?" Ndiyayiqonda loo nto.

Nangona kunjalo, ugqirha ukwenza oku ngokuthetha nawe aze ayeke kwangoko ukuba uziva ungakhululekanga.Ukuba uvavanyo luthi "luyanceda," oko kuthetha ukuba kukho ingxaki, ugqirha uya kukuxelela into omawuyenze ngokulandelayo kunye nonyango olunokukunika isiqabu.

Ngoko ke, ukuba unentlungu engapheliyo entanyeni okanye ukuba ndindisholo esandleni sakho, musa ukuyityeshela. Musa ukucinga nje ukuba "iza kuphela." Kungcono ukubona ugqirha kwaye ufumane ingcebiso. Ngale ndlela, unokufumana isiqabu ngokukhawuleza.

Ndikunqwenelela ukuchacha ngokukhawuleza!

Intlungu yentamo , uvavanyo lweSpurlin, uxinzelelo lwemithambo-luvo, uxinzelelo lweengcambu zemithambo-luvo yomlomo wesibeleko, ukuba ndindisholo, uvavanyo lwezonyango, i-cervical radiculopathy, umqolo wesibeleko, intlungu yentamo